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General NPI Number Information
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NPI Number | 1821143975
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Entity Type | Individual
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Provider Name | TREVIN J. CAMPBELL
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100 APO AE 09180-3100
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City | LANDSTUHL
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State | RHINELAND PFALZ
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Zip | 09180
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Country | DE
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Telephone | 314-590-7789
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 104, APO, AE - 09180 AUF DER PLATTE 64
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City | MACKENBACH
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State | RHINELAND PFALZ
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Zip | 67686
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Country | DE
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 253
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License Number State | LA
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